Organization
JOHN ROGERS DDS PC
Active
Other names
Refresh
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M ROGERS D.D.S. (OWNER)
(918) 408-9543
Entity
Organization
Contact information
Practice address
6802 S OLYMPIA AVE, SUITE 275, TULSA, OK 74132-1823
(918) 408-9543
Mailing address
6802 S OLYMPIA AVE, SUITE 275, TULSA, OK 74132-1823
(918) 408-9543
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6209
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200297330A
—
OK
Enumeration date
09/10/2012
Last updated
09/10/2012
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